NPIMap

Organization Active NPI

Bayamon SMH Corporation

Doing business as Hato Rey X Ray & Imaging Center

  • Radiology Clinic/Center
  • San Juan, PR
National Provider Identifier
1912905506
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
BAYAMON SMH CORPORATION
Doing business as
Hato Rey X Ray & Imaging Center
Practice address
156 Ave FD Roosevelt
San Juan, PR 00918-2406
Phone
(787) 754-1422
Fax
(787) 754-8555
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joanne M Marin, M.D.NPI 1003844986
Title
President
Phone
(787) 754-1422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X PR
Radiology Clinic/Center 261QR0200X PR Primary
Mammography Clinic/Center 261QR0206X PR
Preferred Provider Organization 305R00000X

Addresses

Primary practice location

156 Ave FD Roosevelt
San Juan, PR 00918-2406

Mailing address

1353 Ave. Luis Vigoreaux
PMB 647
Guaynabo, PR 00966-2715
Phone (787) 754-1422

Other names 1

  • Hato Rey X Ray & Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050302000003 PR Part B Supplier - Clinic/Group Practice 5799738720 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

156 Ave Fd Roosevelt
San Juan, PR 00918
Phone (787) 754-1422

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1912905506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 AVE. LUIS VIGOREAUX",
            "address_2": "PMB 647",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-754-1422",
            "fax_number": "787-754-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 AVE FD ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182406",
            "telephone_number": "787-754-1422",
            "fax_number": "787-754-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYAMON SMH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-754-1422",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hato Rey X Ray & Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hato Rey X Ray & Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.